NPIMap

Organization Active NPI

Montclair Home Healthcare LLC

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1356783070
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO-17979 Issued in VA
Legal business name
MONTCLAIR HOME HEALTHCARE LLC
Practice address
4054 Raft Cove CT
Woodbridge, VA 22193-5870
Phone
(571) 229-0268
NPI assigned
Jul 23, 2013
Last updated
Sep 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Zahra M. Mohamed
Title
Intake Coordinator
Phone
(571) 229-0268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO-17979 VA Primary
Respite Care 385H00000X HCO-17979 VA

Addresses

Primary practice location

4054 Raft Cove CT
Woodbridge, VA 22193-5870

Mailing address

4054 Raft Cove CT
Woodbridge, VA 22193-5870
Phone (571) 229-0268

National Provider Directory

National Provider Directory
Tax ID family
Helping Hand Home Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1356783070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 RAFT COVE CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935870",
            "telephone_number": "571-229-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4054 RAFT COVE CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935870",
            "telephone_number": "571-229-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "INTAKE COORDINATOR",
        "authorized_official_telephone_number": "571-229-0268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-17979",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "HCO-17979",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.